Hello!
Thank you for asking on HCM!
I read your question carefully and understand your concern.
I would like to explain that Chol/HDL ratio is a more confident indicator compared to
total cholesterol or LDL.
A ratio above 4.5 in men, indicates a high cardio vascular risk. That is why I agree with your doctor in starting therapy with statines to reduce this independent risk factor for cardio
vascular disease.
Regarding his glucose levels, I would advise to perform further tests like :
- glucose tolerance test
- HbA1c
to examine better his glucose
metabolism and rule in/out possible
diabetes.
In case of an initial diabetes, diet modifications would be more appropriate than medical therapy, to reduce high blood glucose levels.
Some other tests are needed to exclude other metabolic disorders:
- a resting ECG
-thyroid function tests
-
cortisol plasma levels
-blood electrolytes
-kidney and liver function tests.
I don't think this medications are related to his past medical history.
Hope to have been of help!
Best wishes,
Dr. Iliri